Archived: Madeira Medical Centre

Updated 16 August 2016

Madeira Medical centre is situated in Poole, Dorset. Then practice provides treatment to 8222 patients.

The practice operates from purpose built premises. The practice has seven consultation rooms and four treatment rooms of which one is used by chiropody services. There is also another room that is used by counselling services. The practice has three separate waiting areas. The practice has four GP partners and three salaried GPs. Four GP’s are female and three are male. There is a practice manager, assistant practice manager, three practice nurses, a healthcare assistant, reception and administrative staff.

The practice has a Personal Medical Services (PMS) contract (a locally agreed alternative to the standard GMS contract used when services are agreed locally with a practice which may include additional services beyond the standard contract). The practice has a higher than average number of patients aged between 40 and 55 years and a slightly higher than average number of patients aged over 85 years. The practice is open between 8.30am and 6pm Monday to Friday. Appointments are from 8.30am to 6pm daily. This information is displayed on the practice website and in the practice information leaflet. When the practice is closed patients are advised to access out of hours care provided by South West Ambulance Service via the NHS 111 service.

The provider is registered to provide the regulated activities of surgical procedures, diagnostic and screening services, treatment of disease, disorder or injury, maternity and midwifery services and family planning at the location.

At our previous inspection in June 2015 we rated the practice as requires improvement for providing safe services. The provider sent us an action plan which detailed the steps they would take to meet the breaches in regulation. At this inspection in July 2016 we found the provider had made the necessary changes and the improvements made ensured the practice was providing a safe service.

We carried out our inspection at the practice’s only location which is situated at 1a Madeira Road, Parkstone, Poole Dorset. BH14 9ET.

Updated 16 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced focussed follow up inspection of Madeira Medical Centre on 19 July 2016. This inspection was performed to check on the progress of actions taken following an inspection we made on 3 June 2015. This report covers our findings in relation to the requirements and should be read in conjunction with the report published on 10 September 2015 following the inspection in June 2015. This can be done by selecting the 'all reports' link for Madeira Medical centre on our website at www.cqc.org.uk

Our key findings at this inspection were as follows:

• A systematic programme of legionella testing was being performed by appropriately trained staff.

• We saw all staff who were providing chaperone duties were had received a check by the Disclosure and Barring service (DBS).

• There were suitable arrangements to keep refrigerated medicines safe. All medicines fridges were locked.

• We found that cupboards where chemical substances that were hazardous to health were stored were locked.

• Complaints were analysed for trends.

• All staff had received up to date training in the Mental Capacity Act 2005 and information governance.

• A record was kept of all meetings held.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 September 2015

The practice is rated as good for the care of people with long term conditions. GPs and nursing staff had lead roles in chronic disease management and patients who were admitted to hospital were followed up and had their care reviewed after they had been discharged. Quality indicators for the management of diabetes were in line or above the national averages and the practice held a monthly diabetes management clinic.

Updated 10 September 2015

The practice is rated as good for the care of families, children and young people. There were systems in place to identify and follow up children who were at risk and the practice had met with the school nurse to improve the provision of care provided to children. Immunisation rates were above national averages. The practice provided a children’s phlebotomy service. Appointments were available outside of school hours and the premises were suitable for children and babies.

Updated 10 September 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions that were commonly found in older people. 73% of patients over the age of 75 had a named GP. The practice was proactive in offering dementia screening and responsive to the needs of older people, offering home visits when required.

Updated 10 September 2015

The practice is rated as good for the care of working age people (including those recently retired and students). Patients could book appointments and order repeat prescriptions on line and appointments were available until 6pm. The practice offered a range of health screening associated with working age people. However there were no extended hours and weekend clinics at this location.

Updated 10 September 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). 100% of patients with schizophrenia, bipolar affective disorder and other psychoses have had a documented care plan recorded in the last 12 months and 89.71% of patients with dementia had a documented care plan recorded within the last 12 months. Counselling services were also available for people experiencing poor mental health and the practice worked with the community mental health team to provide a multi-disciplinary approach to care.

Updated 10 September 2015

The practice is rated as good for people whose circumstances may make them vulnerable. The practice used their own address when making referrals for patients who were homeless and provided care to temporary residents. It held a register of people who had learning disabilities and reviewed their care on an annual basis. Multi-disciplinary team meetings were held but these were not minuted, however practice meetings that reviewed the care of vulnerable patients were held on a monthly basis and recorded. The practice provided end of life care using a multi-disciplinary approach. A GP worked with the essential drug and alcohol service and was a board member.